Case 43

A 56-year-old man presented with a four-month history of a growing throat mass. The patient also had a history of right tonsillectomy a few years ago for the treatment of an infection. He felt fatigue and malaise. Physical examination found a large right tonsillar mass with regular smooth mucosa, measuring roughly 3 × 4 × 4 cm, which was limited to oropharynx. The mass was firm to palpation. No cervical lymphadenopathy was detected. A biopsy of the mass was performed (Figs. 43.1, 43.2, and 43.3).